Can you post a link? I'd like to read it.
Look up the CDC's official IM injection guidelines. They don't bother with aspiration anymore unless you are doing it is some very strange locations (i.e. where you wouldnt be doing IM anyway).
They don't even teach RNs to aspirate any more. Just ask the CDC, ACIP, DHS, AAFP, DOH, or the WHO. Dont take my word for it, see below.
According to the CDC:
"Aspiration - Aspiration is the process of pulling back on the plunger of the syringe prior to injection to ensure that the medication is not injected into a blood vessel. Although this practice is advocated by some experts, the procedure is not required because no large blood vessels exist at the recommended injection sites."
"Aspiration is not indicated for SC injections."
"Aspiration is not indicated for IM injections."
STTI International Nursing Research Congress Vancouver, July 2009
Organizations which now state aspiration is not necessary:
Centers for Disease Control (CDC) Advisory Committee on Immunization Practices (ACIP) Department of Health Services (DHS) American Academy of Family Physicians (AAFP) U.K. Department of Health (DoH) World Health Organization (WHO)
References:
- Atkinson, W. L., Pickering, L. K., Schwartz, B., Weniger, B. G., Iskander, J. K., & Watson, J. C. (2002). General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). Morbidity and Mortality Weekly Report, 51, RR2. 1-33.
- Chiodini, J. (2001). Best practice in vaccine administration. Nursing Standard, 16(7), 35-38.
- Diggle, L. (2007). Injection technique for immunization. Practice Nurse, 33(1), 34-37.
- Gammel, J. A. (1927). Arterial embolism: an unusual complication following the intramuscular administration of bismuth. Journal of the American Medical Association, 88, 998-1000.
- Ipp, M., Taddio, A., Sam, J., Goldbach, M., & Parkin, P. C. (2007). Vaccine related pain: randomized controlled trial of two injection technique Archives of Disease in Childhood,92,1105-1108.
- Li, J.T., Lockey, R. F., Bernstein, I. L., Portnoy, J. M., & Nicklas, R. A. (2003). Allergen immunotherapy: A practice parameter. Annuals of Allergy, Asthma, & Immunology, 1-40.
- Livermore, P. (2003). Teaching home administration of sub-cutaneous methotrexate. Paediatric Nursing, 15(3), 28-32.
- Middleton, D. B., Zimmerman, R. K., & Mitchell, K. B. (2003). Vaccine schedules and procedures, 2003. The Journal of Family Practice, 52(1), S36-S46.
- Nicoli, L. H., & Hesby, A. (2002). Intramuscular injection: An integrative research review and guidelines for evidence-based practice. Applied Nursing Research,16(2), 149-162.
- Ozel, A., Yavuz, H., & Erkul, I. (1995). Gangrene after penicillin injection: A case report. The Turkish Journal of Pediatrics, 37(1), 567-71.
- Peragallo-Dittko, V. (1995). Aspiration of the subcutaneous insulin injection: Clinical evaluation of needle size and amount of subcutaneous fat. The Diabetes Educator, 21(4), 291-296.
- Roger, M. A., & King, L. (2000). Drawing up and administering intramuscular injections: A review of the literature. Journal of Advanced Nursing, 31(3), 574-582.
- Talbert, J. L., Haslam, R. H. & Haller, J. A. (1967). Gangrene of the foot following intramuscular injection in the lateral thigh: A case report with recommendations for prevention. The Journal of Pediatrics, 70(1), 110-114.
- Workman, B. (1999). Safe injection techniques. Nursing Standard, 13 (39), 47-53.
- World Health Organization (2004). Immunization in Practice, Module 6: Holding an immunization session. Immunization in Practice: A practical resource guide for health workers –2004 update,1-29.
- Center for Nursing History at Misericordia University: http://www.misericordia.edu17. Levels of Evidence, Canadian Medical Association & Centre for Evidence-Based Medicine (2001). Available at:http://www.cebm.net/index18. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia: Lippincott, Williams & Wilkins.
Just another example of Gym Lore and/or Broscience propagating itself..... Try getting your info from someone in the profession rather than a meathead juice dealer at your gym or a "guru" fuck on some forum. The more you are moving the pin around trying to aspirate doing your own glute shot the more scar tissue you're creating.
As I said before, talking about an oil embolism or some other ridiculous shit like putting a barrel in a vein is about like worrying you will get attacked by a shark or hit by lightning. Is is
impossible, no. It is probable, no. Is aspiration worth the effort and extra scar tissue - the resounding majority of the medical community says NO. Jab away.
MYTHBUSTED... you dumb fucking meatheads.